Persistent posttraumatic wrist pain: Complex regional pain syndrome? Mycobacterium tuberculosis infection should be in the differential diagnosis
European Journal of Orthopaedic Surgery and Traumatology, cilt.17, sa.2, ss.193-197, 2007 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 17 Sayı: 2
- Basım Tarihi: 2007
- Doi Numarası: 10.1007/s00590-006-0142-8
- Dergi Adı: European Journal of Orthopaedic Surgery and Traumatology
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.193-197
- Anahtar Kelimeler: Complex regional pain syndrome, Distal radius fracture, Mycobacterium tuberculosis infection, Wrist joint
- Maltepe Üniversitesi Adresli: Evet
Özet
It is a common algorithm for hand surgeons to diagnose and treat persistent post-traumatic wrist pain as complex regional pain syndrome (CRPS). Although it works for many patients, some conditions that affect the wrist don't fall in this category and worsen with this treatment practice. We present a single-handed patient who had had a non-displaced distal radius fracture and was treated as CRPS for the next three months. He was eventually diagnosed with late tuberculous tenosynovitis of the wrist and a total wrist arthrodesis was performed. We believe that Mycobacterium tuberculosis infection should be in the differential diagnosis of persistent post-traumatic joint pain. This is especially important as Mycobacterium infections are becoming more common due to an increase in patients with chronic immunosuppression and definitive diagnosis and treatment of tuberculous tenosynovitis needs a high index of clinical suspicion. © 2006 Springer-Verlag.